Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $172.19 / $234.65 / $274.81	Facility	26	$172.19	$234.65	$274.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $475.00 / $533.29 / $793.46	Professional		$475.00	$533.29	$793.46
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $140.00 / $172.28 / $274.81	Professional	26	$140.00	$172.28	$274.81
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $335.00 / $349.09 / $518.65	Professional	TC	$335.00	$349.09	$518.65
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $111.58 / $254.85 / $641.59	Professional		$111.58	$254.85	$641.59
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $80.14 / $100.18 / $250.45	Professional	26	$80.14	$100.18	$250.45
BCBS Facility/Professional Professional Modifier Low / Median / High Price $894.10 / $894.10 / $894.10	Professional		$894.10	$894.10	$894.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $270.49 / $608.16 / $1,430.06	Professional		$270.49	$608.16	$1,430.06
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $92.30 / $183.58 / $247.04	Professional	26	$92.30	$183.58	$247.04
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $178.19 / $409.64 / $1,210.65	Professional	TC	$178.19	$409.64	$1,210.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $251.06	Professional		$32.34	$32.34	$251.06
United Facility/Professional Professional Modifier Low / Median / High Price $324.97 / $477.31 / $1,534.52	Professional		$324.97	$477.31	$1,534.52
United Facility/Professional Professional Modifier 26 Low / Median / High Price $101.93 / $132.54 / $258.13	Professional	26	$101.93	$132.54	$258.13
United Facility/Professional Professional Modifier TC Low / Median / High Price $219.10 / $312.99 / $1,168.06	Professional	TC	$219.10	$312.99	$1,168.06